Please Read Before Completing This Form:

• We are licensed to practice in the states of Texas and Florida only.
• Our rate is $190 per session; sessions are for 60 minutes.
• An introductory call must be completed prior to scheduling your first session.
• The introductory (consultation) call is not a therapy session and does not estabilish a therapist-client relationship.
• We are hybrid providing services both virtual and in-person (in-person appointments must be scheduled in advance; no walk-in appoinments available).

NEXT STEPS:

• We will review your responses.
• You will receive an email from us with more information.
• You will be contacted for a 15 minute consultation call.
• If you do not respond within 7 days of us emailing you, we will assume you are no longer interested and will close out your request.